Abstract:
Objective To evaluate the early outcome and safety of percutaneous kyphoplasty using anterior-posterior (AP) fluoroscopic film to monitor the pedicle drilling for the treatment of the osteoporotic vertebral compression fracture (OVCF) of the thoracolumbar spine.
Methods From August 2018 to August 2020, 55 patients with OVCF of the thoracolumbar spine received percutaneous kyphoplasty. The surgery was performed by anterior-posterior and lateral fluoroscopic (AP-L group, n=29) or anterior-posterior fluoroscopic guidance combined with preoperatively CT planning for pedicle drilling (AP group, n=26). The age, preoperative vertebral height, amount of bone cement injected, the leakage of cement, operation time, fluoroscopic times, and the preoperative and postoperative pain visual analogue scores (VAS) were evaluated between the two groups.
Results There was no significant difference in the mean age and preoperative vertebral height between the two groups. The mean injected cement volume (5.08±0.70 mL vs 5.77±0.79 mL), the operation time (32.69±5.03 min vs 44.93±6.16 min), and the fluoroscopic examination times (25 vs 32) in the AP group were significantly less than those in the AP-L group (P < 0.01). There was no significant difference in the leakage rate and the VAS between the two groups.
Conclusions The efficacy and safety of percutaneous kyphoplasty guided by unique anterior-posterior fluoroscopic film for the treatment of thoracolumbar OVCF are similar to conventional fluoroscopic guiding with less operating time and X-ray exposure.
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